Provider Demographics
NPI:1235523564
Name:GILBERT, GREGG HEWITT (DDS)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:HEWITT
Last Name:GILBERT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SCHOOL OF DENTISTRY 1919 7TH AVE S
Mailing Address - Street 2:SDB 109
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-0007
Mailing Address - Country:US
Mailing Address - Phone:205-975-8886
Mailing Address - Fax:205-975-0603
Practice Address - Street 1:SCHOOL OF DENTISTRY 1919 7TH AVE S
Practice Address - Street 2:SDB 109
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-0007
Practice Address - Country:US
Practice Address - Phone:205-975-8886
Practice Address - Fax:205-975-0603
Is Sole Proprietor?:No
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5074122300000X
LA4182122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist